Oculogyric crisis (OGC)
Evidence-based neurology checklist on oculogyric crisis (ogc): Clinical features There is paroxysmal conjugate sustained eye deviation Episodes last seconds to hours There is preserved consciousness There may be preceding anxiety or discomfort They may be triggered or worsened by emotional stress…
Clinical features
- There is paroxysmal conjugate sustained eye deviation
- Episodes last seconds to hours
- There is preserved consciousness
- There may be preceding anxiety or discomfort
- They may be triggered or worsened by emotional stress and fatigue
- They may improve with rest and sleep
Associated movement disorders
Associated autonomic features
Associated psychiatric features
Causes: medications
Causes: others
Differential diagnosis
Treatment
References
- Mahal P, Suthar N, Nebhinani N. Spotlight on oculogyric crisis: a review. Indian J Psychol Med 2021; 43:5-9.
- Solberg M, Koht J. Oculogyric crises. Tremor Other Hyperkinet Mov (N Y) 2017; 7:491.
- Rebelo Procaci V, da Hora RPC, Tonholo Silva TY, Barsottini OGP, Pedroso JL. Involuntary eye movements as a clue to diagnosis. Mov Disord Clin Pract 2025; 12:1662-1663.
- Koban Y, Ekinci M, Cagatay HH, Yazar Z. Oculogyric crisis in a patient taking metoclopramide. Clin Ophthalmol 2014; 8:567-569.
- Veerapandiyan A, Gallentine WB, Winchester SA, Baker J, Kansagra SM, Mikati MA. Oculogyric crises secondary to lamotrigine overdosage. Epilepsia 2011; 52:e4-e6.
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